Steam therapy for BPH-Does it cause ED?


Conclusions: Convective water vapor thermal therapy provides durable improvement to LUTS for 12 months and urinary flow while preserving erectile and ejaculatory functions.

Note: Most all of the treatments for enlarged prostate cause retrograde ejaculation. Because the prostate channel is opened with procedures to allow a better stream, in doing this the semen is not propelled forward and stays in the urethra. It is then voided out at the next urination. Medically this not an issue but some men do not like the fact that it happens. Retrograde ejaculation has not been noted in Rezum therapy. In addition Rezum in some cases improved sexual function which at this time is unexplained.

Convective Water Vapor Energy Tx (Rezum) of LUTS Preserves Sexual Function

Urology – October 30, 2016 – Vol. 34 – No. 9

Convective water vapor therapy provides durable improvement to lower urinary tract symptoms and urinary flow while preserving erectile and ejaculatory functions.

Article Reviewed: Erectile and Ejaculatory Function Preserved With Convective Water Vapor Energy Treatment of Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia: Randomized Controlled Study. McVary KT, Gange SN, et al: J Sex Med; 2016;13 (June): 924-933.

Background: Lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is a common condition concurrent with erectile dysfunction (ED). In recent years, the association between LUTS and ED has been escalating in level of concern by patients and health care providers, as treatment may impact sexual function (SF). The effectiveness of various treatments for LUTS-BPH has been defined, and most patients have some sexual side effects, although differing in type, severity, and frequency. An alternate,minimally invasive therapy utilizing convective water vapor (Rezum) has been shown to provide rapid relief in LUTS.

Objective: To determine whether therapy utilizing convective water vapor energy had any effect on erectile and ejaculatory function.

Design: Randomized controlled trial.

Methods: In the blinded group (active 136, control 61) comparison occurred at 3 months; the active arm was followed up for up to 12 months for International Prostate Symptom Score (IPSS), Qmax, and for sexual function using International Index of Erectile Function (IIEF) and the Male Sexual Health Questionnaire for Ejaculatory Function (MSHQ-EjD). The minimal clinically important difference (MCID) in EF for which subjects perceive as beneficial was determined for each EF severity category.

Results: No treatment- or device-related de novo ED occurred after therapy. The IIEF and MSHQ-EjD function scores were not different from controls at 3 months or from baseline at 1 year. The ejaculatory bother score improved to 31% over baseline (P =0.0011). Also, 32% of subjects achieved MCIDs in EF scores at 3 months and 27% at 1 year, including those with moderate to severe ED.

Conclusions: Convective water vapor thermal therapy provides durable improvement to LUTS for 12 months and urinary flow while preserving erectile and ejaculatory functions.

Reviewer’s Comments: The primary end point was the treatment of LUTS, and therefore, the endeavor to evaluate SF in this context presents an inherent limitation. The MCID suggests an improvement in ED in men with baseline ED is unexplored and a novel finding.(Reviewer–Kevin T. McVary, MD, FACS).

Northeast Georgia Urological Associates is now performing Rezum Therapy  as an out patient procedure in both the office setting and our accredited ambulatory surgery center. You can contact us 24/7 with your number below and we’ll call you to arrange your consultation.

What is the Rezum vapor treatment of prostate enlargement?

This form of prostate enlargement will soon be offered at Northeast Georgia Urological Associates. It can be performed in both the office setting and in our ambulatory surgery center. Steam is used to shrink the prostate away from the prostatic urethra (the tube through the prostate through which the male urinates) and improve voiding in the male with prostate enlargement. Even though it is a new modality the skills necessary to perform this procedure are used commonly by the practicing urologist.

Rezum Website

If you have questions about this new form of treatment or have an interest in a prostate enlargement treatment that can be done in an office setting please leave your number and we’ll call you with the appointment.